DR. CHARISE LANETTE VALENTINE (NPI# 1366485039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366485039 |
| Entity Type | Individual |
| Full Name | DR. CHARISE LANETTE VALENTINE |
| Credential | M.D. |
| Practice Address |
4245 S Beech Daly St Suite 104 Dearborn Heights MI 48125-1567 |
| Practice Telephone | 3137309011 |
| Practice Fax Number | 3137309013 |
| Mailing Telephone | 3137309011 |
| Mailing Fax Number | 3137309013 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | CV053752 | MI | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | CV053752 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PERSONAL | 1306343272 | 01 |
| MI | BCBS | 700H219440 | 01 |
| MI | 4614876-10 | 05 |
| Street Address |
4245 S BEECH DALY ST SUITE 104 |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48125-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427503101 | Pharmaceutical Medical Consulting Pllc | Clinical Medical Laboratory | 4245 S Beech Daly St, Ste. 201, Dearborn Heights, MI 48125-1576 | 2016-08-23 |
| 1194153783 | American Homecare Services Inc | Home Health | 4245 S Beech Daly St, Suite 202, Dearborn Heights, MI 48125-1576 | 2013-10-17 |
| 1801189204 | American Homecare Hospice LLC | Hospice Care, Community Based | 4245 S Beech Daly St, Suite 201, Dearborn Heights, MI 48125-1567 | 2011-05-18 |
| 1023036829 | Alpha Home Healthcare, Inc | Home Health | 4245 S Beech Daly St, Suite B, Dearborn Heights, MI 48125-1567 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
| 1558811331 | Jacquelyn Elyoussef | Technician, Other | 3930 Academy St, Dearborn Heights, MI 48125 | 2016-10-05 |
| 1386856375 | Amerigard Development Corporation | Family Medicine | 23850 Van Born Road, Dearborn Heights, MI 48125 | 2007-05-04 |
| 1922140490 | Marie C Petricca | Social Worker | 20382 Van Born Road, Catholic Social Services of Wayne County, Dearborn Heights, MI 48125 | 2007-02-13 |
| 1528025871 | David L Cooley | Family Medicine | 3902 Monroe, Dearborn Heights, MI 48125 | 2006-04-28 |
| 1013998251 | Masha-moss Inc | Pharmacy | 4245 S Beech Daly Rd, Dearborn Heights, MI 48125 | 2005-11-06 |
| 1033639109 | Clinic Rx 2 LLC | Pharmacy | 23850 Van Born Rd, Dearborn Heights, MI 48125 | 2017-06-21 |
| 1932639176 | Olivia J. Furnas | Midwife | 18101 Oakwood Blvd, Dearborn, MI 48125 | 2017-06-19 |
| 1083099303 | Holistic Healer Health Coaching LLC | Nutritionist | 3998 Clippert St, Dearborn Heights, MI 48125 | 2015-07-28 |
| 1396255915 | Lillian Drushelia Herzberg | Registered Nurse | 26827 Annapolis St, Dearborn Hts, MI 48125-1201 | 2017-10-10 |
| Find all providers in zip 48125 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477768661 | Corrine L. Adler, Do PC | General Practice | 2014 N Beech Daly Rd, Dearborn Heights, MI 48127-3405 | 2007-05-11 |
| 1326160433 | Beech Daly Medical Center, Pllc | General Practice | 23850 Van Born Rd, Dearborn Heights, MI 48125-2325 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649120 | Source Medical Solutions Pllc | General Practice | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 | 2020-11-06 |
| 1043832801 | Ksk Medical Pllc | General Practice | 6300 Winter Rd, Manitou Beach, MI 49253-9634 | 2020-05-14 |
| 1275184921 | Home Physicians Group Inc | General Practice | 18481 W 10 Mile Rd Ste 102, Southfield, MI 48075-2621 | 2019-09-24 |
| 1558913251 | Baybrooke Counseling | General Practice | 421 St. Josephs Ave, Suttons Bay, MI 49682 | 2019-07-12 |
| 1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48125 |
Please comment or provide details below to improve the information on DR. CHARISE LANETTE VALENTINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.